Hi, we're Oscar. We're hiring an Associate, Member & Provider Compliance to join our Insurance Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will support solutions to acute and systemic issues within Oscar’s operations, analyzing challenges, coordinating responses, and delivering positive outcomes based on inputs from stakeholders. You will advance compliance efforts by conducting data analysis, managing document reviews, and overseeing the policies & procedures review process.

You will report to the Manager, Member & Provider Compliance.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $93,600 - $122,850 per year. The base pay for this role in all other locations is: $84,770 - $110,565 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Leads and cross collaborates on problem definition, acute error remediation, and root cause solution development
• Utilize data to drive business decisions to impact cross-functional strategy
• Develop trusting relationships with relevant internal/external stakeholders through effective communication and collaboration.
• Draft detailed narratives and reports to communicate compliance findings and updates, including responses to Regulator/NCQA requests and examinations.
• Oversee the Policies & Procedures review process, ensuring that all policies and procedures are current and meet regulatory requirements.
• Support Oscar team members through knowledge sharing, process documentation, and tooling development
• Other duties as assigned

• Compliance with all applicable laws and regulations

Qualifications

• 3+ years of relevant technical experience in compliance, regulatory, or data analysis role within healthcare or insurance industry.
• 3+ years experience cooperatively developing project plans with internal and external stakeholders
• 3+ years experience designing and improving workflows within, including development of accompanying operating and technical procedures and tooling

Bonus Points

• Experience managing complicated business challenges: developing understanding, distilling and communicating that understanding to technical and non-technical audiences.
• An academic and professional background in engineering, data, or healthcare
• Knowledge management, training, or content development in operational settings
• Process Improvement or Lean Six Sigma certification
• Structured, systematic, and critical thinking
• Strong verbal and written communications
• 3+ years experience using data software (e.g. Excel, VGA, Macros, SQL and/or Python) to manipulate and analyze large data sets to solve business problems